04D0049984 CLIA NUMBER - STONE COUNTY MEDICAL CENTER

Laboratory Demographics

CLIA Number: 04D0049984

Facility Name: STONE COUNTY MEDICAL CENTER

Facility Address:
2106 EAST MAIN STREET
MOUNTAIN VIEW, AR
ZIP 72560
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Facility Phone Number: 870 262-5075

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1982768214

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	04D0049984
LAB Type	Hospital
Facility Name	STONE COUNTY MEDICAL CENTER
Street	2106 EAST MAIN STREET
City	MOUNTAIN VIEW
State	AR
ZIP	72560
Phone	870 262-5075
CertificateType	2
CertificateEffectiveDate	3/14/2024
CertificateExpirationDate	3/13/2026
FacilityType	Compliance

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This page was last updated on: 4/23/2024